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Another misconception about hypnosis is the widely held belief that the subject is unconscious. This represents a threat to the security of the individual. Actually, the hypnotic state is a period of extreme awareness in which the subject is hyperacute. Furthermore, the subject is not asleep, nor is he in a trance state in the correct meaning of that term. He is in an altered state of awareness with his faculties and reasoning ability intact. Inducing hypnosis merely creates a mood or state in which the powers of suggestibility are heightened.

When the general public and the medical profession become familiar with the true nature of hypnosis, we shall have a greater acceptance and utilization of this power. It is a slow process but one which will finally evolve. In the final analysis, I believe the only danger that exists is in the mind of the individual who fears hypnosis because of whatever subjective qualms he has about his own emotional involvement in the hypnotic process.

An excellent article is "Danger! Hypnotherapist at Work" by M. Abramson. The author reviews briefly the pros and cons regarding the medical use of hypnosis. He concludes: "It is the author's opinion, based on an extensive personal experience of over 15 years, that the use of hypnotherapy by a physician or dentist who has been properly trained and who uses this technique strictly within his field of competence carries with it no more 'danger' than the use of many other techniques of treatment used in medicine today."

Bull. Hennepin Co. Med. Soc., 1960, 31:101-106

Is Hypnosis the Answer?

"It would be well to sound a word of caution against certain attitudes which have become prevalent and which can be well illustrated in the field of medicine. In this respect, direct suggestion is under the ban. For example, a dictum, 'Never remove the symptom unless the cause is understood,' is much emphasized. Its validity is greatly open to question, since much of medical practice is direct symptom removal, as only a little thought makes apparent.

"Another dictum generally followed is that the unconscious background of symptom-complexes must necessarily be made conscious to effect a cure. Reasonable and thoughtful consideration of the extensive role of the unconscious in daily living and functioning renders this dictum much less creditable."

I should like to discuss both of these statements in some detail as they invariably arise in the mind of the individual seeking help through hypnosis.

The first thought that comes to mind is that all the religious healings cited in the Bible involve direct symptom removal. The cures that are effected by religious devotees traveling to sacred shrines are also in the realm of direct symptom removal. I have yet to hear a criticism of this type of treatment directed at religious leaders or condemnation of the religious shrines. These cures are accepted as evidence of the power of faith or attributed to the super-natural. In these cases, nothing is ever done to make the person cured understand the nature of the unconscious mechanisms which contributed to his problem.

Religious healing cannot be dismissed by merely saying, "It isn't scientific." A methodology is only scientific when it works. It is of no value if it doesn't help the individual seeking help. We must face the fact that not all people can be helped by the same psychological treatment. We can readily see this in the following extreme example: An aborigine suffering from a psychological problem certainly wouldn't be a candidate for psychoanalysis as we know it. He could, no doubt, be helped much more readily by a witch doctor. It also stands to reason that the sophisticated Westerner would not be influenced by the incantations of a tribal medicine man.

This approach, to some readers, may seem an oversimplification of a very complex problem, but I think it's time that we had a simple, workable formula devoid of technical jargon. Too often, complex technical terms and theories have been glibly used to explain away failures. I believe we need more and more emphasis on measures to make the patient feel better rather than spending most of the time trying to find out why he doesn't feel well. This, of course, is symptom removal again.

I should like to point out an interesting fact pertaining to Biblical healers. So long as the fame of the healer preceded his arrival in any country, he was able to heal the sick. However, where his fame as a healer was either unknown or discredited, he found no faith and subsequently no cure. The earliest reference to hypnosis is in the Bible, Genesis ii, 21. "And the Lord God caused a deep sleep to fall upon Adam, and he slept ..."

Dr. William Malamud, 86th president of the American Psychiatric Association, in an address delivered at the annual meeting in 1960, stated the following in a paper called "Psychiatric Research: Setting and Motivation":

"During the last few years we have witnessed a growing trend of overemphasizing the value of 'exact' methodology and uniformity of standards. This trend, which could be characterized as a 'cult of objectivity,' has already had an important influence on psychiatric research. It is true that in its emphasis on critical judgment and valid criteria, it has helped to curb unrestrained flights of imagination and sloppy methodology. But the overglorification of objectivity and the insistence on rigidly single standards of acceptable methods have resulted in a concentration on certain phases of the science of human behavior at the expense of other very important ones."

I believe that most individuals have a fairly good understanding of how they came to have the problem that they have. I have yet to encounter the person who protests he has no idea why he doesn't function as he would like to in a certain area. From a practical standpoint, not many have the time nor money required to delve into the unconscious background of the problem. The high cost of treatment is a very real objection and cannot be discounted lightly. People suffering from emotional problems usually suffer financial reverses as well. Who is to help these people? There are very few places in the country where they can receive competent psychiatric help at a reasonable fee. Is there this type of help in your own community? It is only when the individual is destitute that the state provides whatever help it can. However, at this point it's a long hard struggle back to good emotional health.

"What about psychiatry and psychoanalysis? This is a different matter. Many unhappy and problem-ridden people, though by no means all who have tried it, have profited from psychotherapy. Indeed, all the mental health pamphlets, as a postscript to the self-help methods they advocate, wind up by advising the reader to seek professional care if his problems are serious enough. But the skeptics at Cornell cited statistics which to them show that psychiatric treatment is as remote for the average person as a trip to the moon. Aside from the expense, which most people would find prohibitive, there simply are not enough therapists to go around. The U. S. has around 11,000 psychiatrists and 10,000 clinical psychologists--in all, about one for every 8,500 citizens. If everybody with emotional problems decided to see a psychiatrist, the lines at the doctors' offices would stretch for miles."

It is time that we re-examined the dictums that say a symptom can never be removed unless the cause is understood and the unconscious background of symptom-complexes must be made conscious and understood before a cure is effected.

There are many positive thinking groups functioning in the religious field. Many of these religious groups are in existence primarily because of the dynamic philosophy or psychology they offer for every day living. Couple this with a strong faith in God, and you have a combination which approaches infallibility. Recently we have had a series of best-selling books which expound this very theme. Does it work? Of course it does when used properly.

You can be sure that there has been criticism of this religious psychology. The criticism is that the basic causes of the problem are never dealt with and the unconscious conflict is not resolved. It's the same argument over and over again. What about the people helped? They seem to have made tremendous strides and are leading lives as well adjusted as anyone else. Once imbued with this spirit or feeling of well-being, it permeates every phase of their relationships in a constructive manner. The only reason that there isn't more criticism is that this type of psychotherapy is incorporated into the religious tenets of these groups, and criticizing another man's religion makes the detractor's entire philosophy unacceptable. I am strongly in favor of these groups because I would prefer having a religion that keeps pointing out the positive side of life and that "life can be beautiful" if you put your faith in God and practice positive thinking. It is certainly better than the cynical philosophy of its detractors or the grim religions which stress punishment. Think of the guilt feelings involved in the latter. No one can live up to such a formidable creed.

Of course, if you suggest to positive thinking, religious individuals that they are using a form of self-hypnosis, they will emphatically deny and debate the issue. Since we are primarily interested in mental hygiene and not in winning a debate, it is well to leave the matter as it stands. The point to keep in mind is that so long as a person feels that this methodology is the answer to his needs and so long as no one is being hurt by his belief, I feel he should cling to his conviction. He should not allow it to be destroyed by those who are thinking in different semantic terms.

I would like to bring up another common example pertaining to the two basic concepts that we have been discussing. It is the example of the many individuals who have taken public speaking courses to overcome stage fright. In most cases, the person involved hasn't had too much opportunity to be a public speaker. Because of this, he suddenly feels he may not say the right thing or forget what he wants to say. This anxiety can create the very situation or block that he fears. What is the solution? Certainly not psychoanalysis to find out why he functions the way he does. You could use this approach, but I don't think it's the most constructive one. It is like asking, "What am I doing that's wrong?" instead of "What can I do that's right?" The most constructive approach is to take a course of instruction to get the actual practice and experience in the techniques of public speaking.

Before proceeding further, I believe it is necessary to point out that I am not just being critical of the convictions of other sincere and dedicated individuals engaged in the field of mental hygiene. It is always good to re-evaluate our present thinking on any subject, no matter how sincere or convinced we may be that what we are doing is correct. At times, we can become so immersed in our convictions that we cannot take criticism and respond emotionally to ideas or interpretations that do not coincide with logical thinking.

What, then, is the answer to mental health problems? There is no single answer. It is a very complex situation. There are many promising drugs and treatments which, if adequately developed and widely used, could do a great deal toward promoting good mental health. Fundamentally, the problem will always be that of trying to understand human behavior and helping those in distress with an efficacious formula.

What is that formula? I believe hypnosis can contribute in part to the answer. Needless to say, hypnosis is contraindicated in many emotional problems because of the very nature of the problem itself. Some emotional difficulties must first be worked out on a conscious level. After this, hypnosis can be instrumental in achieving the final goal.

How Does Self-Hypnosis Work?

There's an old Chinese proverb that states: "One picture is worth a thousand words." In conveying suggestions to the subconscious, we have found that picture images are more effective than the words that are implanted. For example, it isn't sufficient to say, "I will be confident." The words must be augmented by a picture of yourself as the confident person you want to be. If you say, "I can't visualize myself as a confident person because I have never been that way," you can "borrow" those personality traits that you want for yourself. Imagine yourself endowed with the characteristics of some confident person that you know. The qualities that you seek may even be borrowed from a famous person. If this isn't possible, make up a personality which is a composite of all the things you want to be. See yourself walking, talking and carrying on activities. Keep fortifying this image with the mental suggestions that are needed. It won't be long before these mental impressions give rise to the confident feelings that you seek. As you keep implanting these images, they will become a natural part of your conscious personality.

"The writer has found of the greatest value in the re-education of the patient, which is an essential part of hypnotherapy. In this method, after the cause of the trouble has been discovered and as a part of his re-education, the patient is instructed while under only light hypnosis to 'form a picture' in his mind. He is asked to imagine a movie screen and to see himself 'just like an actor' on this screen playing a part. He is told that the picture looks 'very real'--'3-D' in fact--and that he can see himself acting and looking the way he really wants to look and act. Various scenes are suggested such as ... the patient will have to face in real life. In each he is instructed to see himself--'as in real life'--always succeeding. For instance, the stammerer might be asked to picture himself speaking easily to people, and feeling perfectly at ease. The patient is also instructed how to form these 'success pictures' for himself, and it is stressed that he will only be able to see himself as he wants to be--successful. Since the pictures give rise to the appropriate feelings, it is not long before the patient begins to show the benefit of his private '3-D' film shows."

After explaining this technique to students, many have inquired, "Is that all there is to it? It seems so simple." Of course, there is more to it in that the individual must follow through with the instruction. This is one of the difficult aspects of this type of program. Let me enumerate some of the problems I have encountered in teaching self-hypnosis.

As mentioned, one of the difficulties is that the technique seems too simple. Students become skeptical. They feel it should be more complicated and involved in order to get results. I suppose people better appreciate something that comes only after a hard struggle. This procedure is devoid of this. Of course, I am not saying that once a person begins to use this technique his problems will automatically vanish and his life will be cheery forever after. We have been conditioned to think that success in anything can only come after a long, hard struggle. This is the basic theme of the American way of life. We have been accustomed to believe that conflict and struggle are part of life and large doses of it are necessary before we achieve success in any field. I can only reiterate that the information contained in this book is all you need to get results. It is necessary that you follow through and not give up after you have tried the program for a short while and have obtained no appreciable results. This brings us to another point.

Many persons expect immediate results when they begin to use self-hypnosis. If they don't get the results they anticipated immediately, they want to know "what's wrong?" My answer is usually that "nothing is wrong" and that they need only keep steadily applying the instructions. Certainly, one doesn't become a proficient typist, musician, actor or sportsman because he has mastered the basic techniques. It takes time to acquire proficiency.

Let me assure you that anyone using and applying this technique can benefit from it. One of the troubles in dealing with any problem is routing defeatism and hopelessness. You can incorporate posthypnotic corrective measures in the suggestions that you give yourself. However, I believe that they must be dealt with on a conscious level as well. You must believe that you can conquer your difficulties no matter how long you have had them. If you are prepared to work with self-hypnosis in an unremitting manner, you will achieve the self-help that you seek. Now and then, you can anticipate a setback in your progress, but this needn't discourage you from your overall task. Recount the progress already made. If you have a "let-down" because you expected quicker and more dramatic results, remember that this is a common feeling shared by many with emotional problems. Remember, also, how long you have had the problem.

No doubt, you have tried other methods and became discouraged because you weren't making the progress you had anticipated. You dropped the idea and landed back where you started. Make up your mind, consciously, that you will work with untiring sincerity and a perseverance that will not falter because your chosen goal is not achieved immediately. I know of no therapy that leads straight to positive results without obstacles and intermittent failure. Success comes in spite of intervening failures because the ultimate direction has been clearly thought out and charted. Self-hypnosis will finally work because you are constantly conditioning your subconscious to react in a positive, constructive manner. The program must, of necessity, become automatic in nature. When it does, you will suddenly find yourself feeling the way you wanted to and doing the things that you set out to do with the aid of self-hypnosis. You actually cultivate those feelings that you want.

Hypnosis will not work with skeptics. Every so often such a person comes to my office seeking help. He tells me that his family physician or his spouse feels he should take my course in self-hypnosis. I inquire if he feels he might benefit from the course. If his answer is not positive, and if after talking to him at length about the benefits of hypnosis, I still feel he is not ready for the course, I suggest another mode of treatment for him. The reason for this is that unless the person is optimistic and enthusiastic about self-hypnosis, it just isn't going to work as effectively as it would otherwise. The very nature of a skeptical attitude limits the constructive forces that we wish to harness.

Occasionally, individuals want indisputable proof that hypnosis is going to help them. It is impossible to give them the proof and unqualified reassurance that they seek. Yet, these same people do not require proof from their physicians. No one can guarantee success. However, I do point out that the continued and intelligent use of self-hypnosis can be instrumental in directing the healing, curative, constructive forces of nature.

Many times, a metaphysical rather than a scientific approach is required. It's a matter of trying to satisfy the patient's needs. At times, it is helpful to allow the patient to attend a class in self-hypnosis. Being able to communicate and identify with other individuals seeking self-hypnosis often is enough to change his attitude. This is especially true when one or more of the students relates dramatic changes.

Self-hypnosis works because we are able to condition ourselves to various stimuli. We condition ourselves consciously and unconsciously to many activities. When we experience anxiety, it stems from a conditioning process which could have been conscious or unconscious. In self-hypnosis, the individual consciously works toward implementing and strengthening his own inherent strength and resources. These objectives, when attained, result in feelings of confidence, relaxation, self-mastery and well-being.

Furthermore, hypnosis utilizes a natural mental process. We all know that placebos work admirably in numerous cases. The dictionary defines the word placebo as, "an inactive substance or preparation, administered to please or gratify a patient, also used in controlled studies to determine the efficiency of medicinal substances." Many controlled experiments have shown that people achieve similar results whether they take a placebo or real medication that was prescribed. Several years ago many such tests were carried out with antihistamines to prevent colds. The results were always the same.

We are interested in what makes the placebo act as effectively as the true medication. It stands to reason that a chain reaction is set up, actually causing a physiological result from a psychological reaction. The unsuspecting patient declares, "I've never felt so good in my life." Yet, this would never have happened if he didn't think he was taking the marvelous new medicine. A recent scientific study by one of the leading pharmaceutical houses concluded that one third of the effectiveness of any medication depends upon the faith and trust that the patient has in the prescribing physician.

I am sure that the placebo results and the patient's faith in the physician as contributing factors to the effectiveness of medications do not come as a revelation. We are all aware of such information. Our problem is how to harness this unconscious process for constructive goals. The answer is through self-hypnosis.

As the reader can deduce, we are not theorizing about a startling new discovery. The technique is as ancient as man himself and his dream of a better tomorrow. All books using the visual-imagery technique tell you to paint a vivid, mental picture of the material things you wish to acquire, if it is a case of material wealth. For personal improvement, they tell you to paint a vivid picture of the individual you want to be. In most cases, you are told to do this in a relaxed or meditative state with as few distractions as possible. The next two requirements are constant repetition and a "burning desire" to achieve what you set out to do.

Aren't these books really talking about self-hypnosis? Aren't they describing precisely the techniques of self-hypnosis? The terminology is different, but the approach is the same. With these techniques there is an aim to direct thinking, picturization, positive thinking, suggestions and constructive thoughts or images to the "inner self" or "real self." Aren't they once again really talking about the subconscious mind? I have no argument with any workable approach to emotional maturity, but in many cases we are actually becoming involved with the meaning of words . The quickest way to the subconscious is through self-hypnosis. In this self-hypnotic state, you are able to consciously direct suggestions to your subconscious mind.

How to Arouse Yourself from the Self-Hypnotic State

You will note that this chapter precedes instruction on how to attain self-hypnosis. The reason for this is to alleviate whatever anxiety you may have in regard to the question, "If I'm hypnotized, how do I awaken myself?" It is important to understand that even though you are hypnotized, you are in control, are aware of your surroundings, what is going on about you, can think clearly and can arouse yourself very easily. It is only necessary to say or think, "I shall now open my eyes and wake up feeling fine." You could also give yourself a specific count and say, "As I count to five, I'll open my eyes and wake up feeling wonderfully well and refreshed. One ... two ... three ... four ... five."

Occasionally, the subject falls asleep while giving himself suggestions or while relaxing to get into the right psychological mood. Naturally, in this case, the subject will awaken in due course. If the subject practices hypnosis when he is normally set to fall asleep in bed, he would awaken refreshed in the morning at his usual time.

"I shall work with self-hypnosis for 15 minutes. At the end of that time, I shall open my eyes and wake up feeling wonderfully well, wide awake, confident, cheerful and optimistic. The moment I open my eyes, I'll feel refreshed. In case of any outside danger, I'll be able to awaken immediately, be fully alert and act accordingly."

You will notice that these suggestions take into consideration the possibility of something happening of danger to the individual, such as fire, etc. These points arise in the minds of most individuals attempting self-hypnosis and are well taken. You could also set an alarm clock to awaken you at a designated time.

Let us assume to arouse yourself you gave yourself a suggestion to open your eyes and be wide awake at the count of five. You count to five and for some reason you are unable to open your eyes. First of all, DON'T WORRY. Remain relaxed and give yourself the suggestions over again, emphasizing to yourself that at the count of five you will absolutely, positively be able to open your eyes very easily and will feel fine. You then begin the count again reiterating between each number that you will positively open your eyes at the count of five and be wide awake. This should do it. Should this not do it, may I reassure you again, DON'T BECOME ALARMED. Relax for a few minutes and try again. You'll be able to open your eyes and wake up.

I have had persons tell me that they heard or read of a case where the hypnotist could not bring the subject out of the hypnotic state, and, as a result, the subject slept for so many days. Not one of the stories could be documented. Years ago, for publicity purposes, stage hypnotists would have a subject sleep in a store window for several days. This was on a voluntary basis, though, and should not be confused with what we are discussing.

Occasionally, the instructions to wake up are not clear to the subject. If this is the case, clearer instructions should be given. You could also deepen the hypnotic state and then give suggestions to awaken at a specific count in a very authoritarian manner. Every so often, I have found that the subject has fallen into a natural sleep and just hasn't heard the instructions. In this case I raise my voice which is usually sufficient or gently shake the subject awakening him as you would any sleeping person.

I would like to relate a rather interesting experience that I had with a male subject. I had worked with this particular subject six times previous to this occasion. He was a good hypnotic subject, and he failed to awaken in the usual manner. Since he had carried out several posthypnotic suggestions, it was rather perplexing to analyze what had happened. After about ten minutes, he finally agreed while he was under hypnosis to awaken at a given count. I asked him what was the nature of the difficulty. He replied, "I wanted to see how you would react."

How to Attain Self-Hypnosis

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